Interactive Effects of Chronic Health Conditions And Financial Hardship On Episodic Memory Among Older Blacks: Findings From The Health And Retirement Study

Previous research links chronic health conditions and financial hardship to cognitive outcomes among older Blacks. However, few studies have explored the moderating effect of financial hardship on chronic disease burden and specific cognitive domains. This study examined whether financial hardship (as measured by difficulty paying monthly bills) modifies the impact of self-reported chronic health conditions (e.g., diabetes, stroke) on episodic memory among 871 older Blacks (50+ years) in the 2006 Health and Retirement Study . Financial hardship modified the association between chronic disease burden and episodic memory performance such that individuals who reported very little difficulty paying their monthly bills had significantly lower memory scores at high levels of disease burden compared to those reporting high financial difficulty after controlling for age, gender and education (F 2, 49 = 5.03, p = .010). This cross-sectional study suggests that both financial and physical wellbeing may have joint effects on cognitive health in older Blacks.     

Idea‐Generation in Naturally Occurring Contexts

This study examined naturally occurring idea‐generation in organizational groups completing an extended problem‐solving task. Meetings held by 11 groups engaged in a quality improvement process in a governmental agency were analyzed to identify 37 idea‐generation episodes. All groups had available a group decision support system (GDSS), although some opted not to use it. Across all groups, idea productivity was low though fairly efficient, but GDSS‐supported idea‐generation produced significantly fewer ideas. In general, idea‐generation as a process appears to be more complex than has been thought; observed deviations from idealized idea‐generation norms were not necessarily dysfunctional. The findings encourage reassessment of the assumptions underlying existing normative models of idea‐generation.     

When a Patient Commits Suicide

ABSTRACT: Suicide is a tragic and upsetting event which sometimes occurs when a person is in some form of therapy. This paper advocates a process after a patient commits suicide which allows for a thorough and orderly working through of the event by involved treatment personnel. The primary focus of this process is neither identification of responsibility nor of cause. The primary goals are to air issues and attitudes, identify factors contributing to the suicide, and most particularly to allow for the thorough expression of residual feelings and issues by the treatment personnel affected. Therapists who utilized this process were able to deal satisfactorily with grief and guilt issues after experiencing patient suicides. A case example illustrates the use of this process.